1982, 08-23 Permit: M82A-6768 InspectINSPECTION RECORD
OWNER
LOCATION
CONTRACTOR TYPE OF WORK.
NSE W FINAL INSPECTION:
SET BACKS
DATE
REMARKS:
APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT 714/
NORTH SI 1 JEFFERSON / SPOKANE, wASHINDTON POMO / MOS! APS 3.31E
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
,O• ADDRESS
S —
LEGAL DESCRIPTION - SEE ATTACHED
PHONE
ADDAX 131.
ei o
a .. �9�y
_ l-74 —%-,S 1.
ISLE
10:
AAETQ4oDESIGNER
A.
Actual s.. ... ~
�EP.te
IW.
SIZ• PI ANNE.
r..•C.nN I Ouvo
Zone ClassIfKAINA
Do.. 0SONAR..
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.ulNlne r_ I.... Et.
5. ADDRESS
CHANGE OF DEE .AD
6 M
ZIP
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Clock. Fim•ooa.•_rnt um...._N..I
O ALT. ,,❑!lAON RN- ❑SIVE.
T won O KD. ❑ .LN.. ?<NEC... ❑ N.n D .DDE
Dor EA
.N.. 1 No. std. N. PART IN.. or ..
CERTIFICATE
M EXEMPTION
•
{/r . ..y.,,FE,e GAS ELE4 ,T RF WATER ..M,E.;-1�.�M r„N.,•
1LAr.�E. DDM,
8._1874r"
. LUO,'_'i . �VfY • CODE
nerDa •D
erebV 0.01,10 thM 1 Nay. read aro ...mined this application and Nave reed ON "NOTICE" provisions included
on reverse aide, and know IN urns to Or true aro corrKL All provdion. of laws aro ordinances p0Kninp Nis
Nw of„p.mwill Ee comd ed with whether peciIOd herein Or not The 9rantirg 01 a wrmit poo not wewma
to 904e autoont0 to „,.dote or canc9 IN prowpons of aro other Etats or local law regulating Construction or the
polo/mama of comtwcoo0. SEE REVERSE SIDE FOR REOUIR ED INSPECTIONNSS.
-L SIGNATURE OF APPLICANT
V ECa0 APPROVALS SPECIAL 00501010061NA.. DATE
4
CATS OF AMILiCATION
FEES COLLECTED
Mo4M Horne
Otnc IE.cifvl
TOTAL E
PERMIT
.ER . o
04• •14C0
•19000
9767
CE -C4-82
s 6470
WHEN MACHINE VALIDATED IN TNIEDACE.